Physical therapists hope CMS will take another look at planned cut to Medicare reimbursement

FierceHealthIT

Physical therapists hope to get CMS to reconsider a planned 8% cut to their Medicare reimbursements in 2021

Analysis: COVID-19 could raise Medicare spending by as much as $115B over next year

FierceHealthIT

A new analysis gave the first details on how the COVID-19 outbreak could impact Medicare spending, potentially increasing costs past $100 billion through 2021

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MedPAC proposes 3.3% boost in hospital payments in 2021, with some going to quality programs

FierceHealthIT

A key Medicare advisory board wants to give acute care hospitals a 3.3% raise in Medicare payments next year but shift 1.3% of it to quality programs

AHIP calls for CMS to delay mandatory new Medicare Advantage requirements due to COVID-19

FierceHealthIT

AHIP wants CMS to give insurers a reprieve from any new requirements in 2021 for Medicare Advantage to help them deal with the impact of COVID-19

Medicare Appeals Backlog Reduced 20%

BHM Healthcare Solutions

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. The post Medicare Appeals Backlog Reduced 20% appeared first on BHM Healthcare Solutions.

CMS modifies proposed changes to E/M codes, delays implementation until 2021

FierceHealthIT

While the Centers for Medicare & Medicaid Services moved ahead with parts of its plan to consolidate codes for Medicare patient visits, it made changes in response to the thousands of comments it received from doctors who worried that the plan would cut revenues for physicians who care for Medicare patients with complicated health conditions

ONC Report: States with High Proportion of EPCS Users Have Fewer Opioids Claims Per Prescriber

hea!thcare innovation - Clinical IT

Electronic prescribing of controlled substances to be mandated in Medicare Part D in 2021

Health Care In the COVID-19 Era – PwC Finds Self-Rationing of Care and Meds Especially for Chronic Care

Health Populi

Patients in the U.S. are self-rationing care in the era of COVID-19 by cutting spending on health care visits and prescription drugs.

CMS boosts MA, Part D rates by 4% next year, increases kidney disease payments

FierceHealthIT

The rates for Medicare Advantage and Part D plans for the 2021 coverage year are expected to increase by 4.07%, an increase from the nearly 3% proposed earlier this year

What’s Next for Telehealth?

South Central Telehealth Resource Center

Last week, Centers for Medicare and Medicaid Services (CMS) released guidelines with a statement encouraging the resumption of in-person care saying, “while telehealth has proven to be a lifeline, nothing can absolutely replace the gold standard: in-person care.”

What we’ve learned from the telemedicine explosion

Henry Kotula

Some insurers have hinted at pulling back on payment, although they will have a hard time doing so as long as Medicare maintains “parity” with in-person visits. [link].

Bowing to physician pressure, CMS delays visit code changes

Henry Kotula

Yesterday the Center for Medicare & Medicaid Services (CMS) finalized the 2019 Physician Fee Schedule (PFS ), announcing they will delay implementation of changes to physician evaluation and management (E&M) codes until 2021.

Being Transparent About Healthcare Transparency – My Post on the Medecision Blog

Health Populi

With new rules emanating from the White House this month focusing on health care price transparency, health care costs are in the spotlight at the Centers for Medicare and Medicaid Services.

What’s Next?

South Central Telehealth Resource Center

Last week, Centers for Medicare and Medicaid Services (CMS) released guidelines with a statement encouraging the resumption of in-person care saying, “while telehealth has proven to be a lifeline, nothing can absolutely replace the gold standard: in-person care.”

Six Covid-19 Aging and Health Technology blog posts from May 2020

Aging in Place Technology Watch

Challenges facing nursing homes serving primarily long-stay residents covered by Medicaid; workforce challenges , which are unlikely to dissipate; nursing home regulations; and the growing popularity of Medicare Advantage." May was an unmerry month of angst and abject failure.

Telemedicine’s Reimbursement Outlook for 2020

GlobalMed

With 42 states enacting telehealth commercial insurance laws, coupled with notable expansions in Medicare and Medicaid coverage, the reimbursement landscape looks promising for virtual care services,” he told GlobalMed. Medicare. The deadline for 2021 consideration is Feb.

Why Insulin Coupons & CoPay Caps Aren’t Good Enough

Insulin Nation

In March, the Trump Administration announced it was working to lower insulin prices for senior citizens on Medicare. Breaking News — On May 26, 2020, the Centers for Medicare & Medicaid Services (CMS) announced a Senior Savings Model in which insulin copays will be capped at $35/month beginning in 2021. What will be the monthly premiums for participating Part D enhanced plans in 2021 relative to other enhanced plans and basic plans?

New Diabetes Bill Signed into Law by President Trump

Insulin Nation

The commission will include the heads of agencies whose mission is impacted by diabetes care; this includes the usual suspects like the CDC and the Centers for Medicare and Medicaid Services, but also agencies like the Department of Defense and the Department of Agriculture.